Racial Disparities in Health Care Utilization, the Affordable Care Act and Racial Concordance Preference

Author(s)

Alyson Ma, University of San Diego School of BusinessFollow
Alison Sanchez, University of San DiegoFollow
Mindy Ma, Nova Southeastern UniversityFollow

ORCID

0000-0001-9746-5004

Document Type

Article

Publication Title

International Journal of Health Economics and Management

ISSN

2199-9023

Publication Date

2022

Abstract

The Affordable Care Act was implemented with the aim of increasing coverage and affordable access with hopes of improving health outcomes and reducing costs. Yet, disparities persist. Coverage and affordable access alone cannot explain the health care gap between racial/ethnic minorities and white patients. Instead, the focus has turned to other factors affecting utilization rates such as the patient-provider relationship. Data from nationally represented U.S. households in 2009–2017 were used to study the association between patient-provider social distance as measured by “racial/ethnic concordance” and health care utilization rates for periods covering pre- and post-ACA. Despite the reduction in financial barriers to health access with the implementation of the ACA, the correlation between racial/ethnic concordance and utilization remains positive and significant. The results suggest that while the ACA may have improved coverage and affordability, other dimensions of access, particularly acceptability, as measured by patient-provider clinical interaction experience, remains a factor in the decision to utilize care.

DOI

10.1007/s10754-021-09311-8

Volume

22

PubMed ID

34427837

NSUWorks Citation

Ma, A., Sanchez, A., Ma, M. (2022). Racial Disparities in Health Care Utilization, the Affordable Care Act and Racial Concordance Preference. International Journal of Health Economics and Management, 22.
Available at: https://nsuworks.nova.edu/cps_facarticles/1933